Provider Demographics
NPI:1144516741
Name:RIPPY, JESSICA BEDWELL (AUD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BEDWELL
Last Name:RIPPY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6133 POPLAR PIKE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4707
Mailing Address - Country:US
Mailing Address - Phone:901-761-9720
Mailing Address - Fax:901-763-1253
Practice Address - Street 1:6133 POPLAR PIKE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4707
Practice Address - Country:US
Practice Address - Phone:901-761-9720
Practice Address - Fax:901-763-1253
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA3587237600000X
LA6647237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter